ADVANCED EYE & LASER CENTER OF CALIFORNIA INC (NPI# 1477610558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477610558 |
| Entity Type | Organization |
| Organization Name | ADVANCED EYE & LASER CENTER OF CALIFORNIA INC |
| Practice Address |
10737 Camino Ruiz Suite 100 San Diego CA 92126-2359 |
| Mailing Address |
10737 Camino Ruiz Suite 100 San Diego CA 92126-2370 |
| Practice Telephone | 8585493200 |
| Practice Fax Number | 8585493207 |
| Mailing Telephone | 8585493200 |
| Mailing Fax Number | 8585493207 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-11-02 |
| Authorized Official Name | PAUL DONG HUYNH (MD) |
| Authorized Official Telephone | 8585493200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A79141 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A791410 | 05 |
| Street Address |
10737 CAMINO RUIZ SUITE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154317022 | Tung N Lai | Internal Medicine | 10737 Camino Ruiz, Suite 200, San Diego, CA 92126 | 2005-09-26 |
| 1255785648 | Advanced Healthcare Center Apc | Obstetrics & Gynecology | 10737 Camino Ruiz, Suite 114, San Diego, CA 92126-2359 | 2016-04-21 |
| 1295193233 | Operation Samahan Inc. | Clinic/Center | 10737 Camino Ruiz, Suite 235, San Diego, CA 92126-2359 | 2016-02-05 |
| 1942665252 | Justine Nicole Palma | Nurse Practitioner | 10737 Camino Ruiz, Medical Mall #220, San Diego, CA 92126-2359 | 2015-12-31 |
| 1821497066 | Gabriel T Fabella Md Inc | Internal Medicine | 10737 Camino Ruiz, Suite 115, San Diego, CA 92126-2359 | 2014-08-13 |
| 1336497544 | Janet Todd Johnson | Radiologic Technologist | 10737 Camino Ruiz, Suite 105, San Diego, CA 92126-2359 | 2012-08-20 |
| 1467711903 | Gita Appelbaum | Nurse Practitioner | 10737 Camino Ruiz, San Diego, CA 92126-2539 | 2012-05-03 |
| 1811253248 | Operation Samahan Medical Clinic | Clinical Nurse Specialist | 10737 Camino Ruiz, San Diego, CA 92126-2359 | 2012-04-10 |
| 1992933113 | Syeeda Rahman | Nutritionist | 10737 Camino Ruiz, Suite 235, San Diego, CA 92126-2359 | 2009-06-25 |
| 1356510242 | Operation Samahan, Inc. | Non-Pharmacy Dispensing Site | 10737 Camino Ruiz, 235, San Diego, CA 92126-2359 | 2008-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1932763042 | Logan M. Haak, M.d., Inc. | Ophthalmology | 1855 1st Ave # 200b, San Diego, CA 92101-2685 | 2019-04-24 |
| 1871009001 | Glenn Paul Goltz | Ophthalmology | 4240 Arguello St, San Diego, CA 92103-1506 | 2017-12-26 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1811350549 | Nora El-khatib Md Inc. | Ophthalmology | 302 Washington St # 150-1676, San Diego, CA 92103-2110 | 2016-03-31 |
| 1225419583 | Andrew Cu-unjieng, M.d. | Ophthalmology | 4060 Fourth Ave Ste 405, San Diego, CA 92103-2121 | 2015-06-12 |
| 1215277272 | Joseph Hartman | Ophthalmology | 5006 Westminster Ter, San Diego, CA 92116-2103 | 2013-02-27 |
| 1477804284 | Michelle B. Crosby M.d., Ph.d. Incorporated | Ophthalmology | 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 | 2012-09-20 |
| 1467714311 | Eye Care Associates of San Diego Medical Group, Inc. | Ophthalmology | 4455 Morena Blvd, Suite 203, San Diego, CA 92117-4358 | 2012-06-15 |
| 1790041804 | Jessica Gomez | Ophthalmology | 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 | 2012-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.